facebook tracking Coronary bypass without cardiac catheterization without major complications cost in Texas: 31 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in Texas

What 31 hospitals in Texas charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $246,369 Hospital list price billed
Average payment $33,627 Medicare + patient + other payers
Medicare paid $27,195 Average per stay
State rank #14 of 42 1 = lowest average payment

Hospitals in Texas billed an average of $246,369 for coronary bypass without cardiac catheterization without major complications, about 7.3 times the average total payment of $33,627. That payment is 11% below the U.S. average of $37,830.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $33,627Billed $246,369

About 14¢ was paid for every $1 hospitals in Texas billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:

Texas hospitals: coronary bypass without cardiac catheterization without major complications

Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
The Heart Hospital Baylor PlanoPlano 103 $136,348 $33,427 $23,753
Baylor University Medical CenterDallas 52 $125,712 $37,371 $28,286
St Davids HospitalAustin 43 $352,901 $32,006 $24,485
Hendrick Health SystemAbilene 37 $300,924 $31,165 $29,680
East Texas Medical CenterTyler 36 $231,220 $28,594 $26,814
Methodist HospitalSan Antonio 34 $328,384 $33,546 $24,151
Trinity Mother Frances SystTyler 29 $282,532 $27,832 $26,238
University of Texas Medical Branch GalGalveston 28 $156,203 $39,533 $31,857
Texas Health Harris Methodist Fort WorthFort Worth 27 $166,625 $37,416 $24,385
Bsa HospitalAmarillo 27 $219,466 $29,494 $24,312
Plaza Medical Center of Fort WorthFort Worth 23 $512,706 $34,474 $28,768
University Medical CenterLubbock 22 $168,529 $38,023 $32,775
Texoma Healthcare SystemDenison 18 $340,519 $29,688 $24,989
St David's South Austin Medical CenterAustin 18 $470,991 $29,879 $28,482
Round Rock Medical CenterRound Rock 18 $459,720 $40,958 $21,996
Providence Health CenterWaco 17 $143,818 $30,471 $29,158
Shannon Medical CenterSan Angelo 17 $157,294 $31,068 $21,722
St Joseph Regional Health CenterBryan 16 $205,219 $31,702 $27,459
Seton Medical Center AustinAustin 15 $317,171 $33,175 $31,620
Mem Hermann Southwest HospHouston 14 $167,440 $32,220 $30,707
CHRISTUS Santa Rosa HospitalSan Antonio 14 $198,928 $29,548 $27,991
Baylor Scott & White Medical Center- College StatiCollege Station 14 $104,581 $31,064 $25,831
Baptist Medical CenterSan Antonio 13 $403,904 $28,768 $27,429
Mem Hermann Baptist HospitalBeaumont 13 $213,074 $32,252 $30,317
Clear Lake Regional Medical CenterWebster 13 $754,248 $34,278 $33,013
Scott & White Hospital-Round RockRound Rock 13 $130,800 $34,422 $26,086
CHRISTUS HospitalBeaumont 12 $201,094 $31,326 $26,812
Memorial Hermann Texas Medical CenterHouston 12 $319,120 $45,638 $35,744
Texas Health Heart & Vascular Hospital ArlingtonArlington 12 $271,072 $56,168 $37,199
Baylor All Saints Medical Center at FwFort Worth 11 $144,590 $32,582 $29,589
St Lukes Episcopal HospitalHouston 11 $202,196 $34,245 $30,877
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Lowest and highest payments in Texas

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Trinity Mother Frances SystTyler, TX$27,832
East Texas Medical CenterTyler, TX$28,594
Baptist Medical CenterSan Antonio, TX$28,768
Bsa HospitalAmarillo, TX$29,494
CHRISTUS Santa Rosa HospitalSan Antonio, TX$29,548

Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in Texas?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 31 hospitals in Texas was billed at $246,369 on average, while the average total payment was $33,627, of which Medicare paid $27,195. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 7.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.